Individual
JIEUN GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A., LPC
Contact information
Practice address
1859 N 52ND ST, PHILADELPHIA, PA 19131-3310
(612) 655-9753
Mailing address
1859 N 52ND ST, PHILADELPHIA, PA 19131-3310
(612) 655-9753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC016070
PA
Other
Enumeration date
10/07/2016
Last updated
09/11/2023
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